Wendy Sue Suckow in Fort Myers - Physician Assistant
Wendy Sue Suckow - NPI 1205804515
Wendy Sue Suckow is a Physician Assistant in Fort Myers, Florida. Wendy Sue Suckow practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wendy Sue Suckow is 1205804515. The last update date is 2021-12-27.
Wendy Sue Suckow's current location address is Po Box 2147, Fort Myers, Florida. You can contact this provider via phone number 2393439960 and fax number 2393439977. The mailing address for Wendy Sue Suckow is Po Box 2147, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Wendy Sue Suckow |
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Address | Po Box 2147, Fort Myers, Florida |
Phone Number | 2393439960 |
Fax Number | 2393439977 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1205804515 |
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Provider Enumeration Date | 2006-03-11 |
Last Updated Date | 2021-12-27 |
Provider Mailing Address Detail
Address | Po Box 2147 |
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City | Fort Myers |
State | Florida (FL) |
Post Code | 339022147 |
Phone Number | 2393439960 |
Fax Number | 2393439977 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA9101731 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
102496300 | FL | -- | |
100002372A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wendy Sue Suckow by the Centers for Medicare & Medicaid Services (CMS)?
The Wendy Sue Suckow has been assigned the NPI (National Provider Identifier) 1205804515. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Wendy Sue Suckow is located?
The Wendy Sue Suckow is situated at the following address: Po Box 2147, Fort Myers, FL, 339022147.
What is the area of specialization for Wendy Sue Suckow, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wendy Sue Suckow is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Wendy Sue Suckow receive the assignment of its 1205804515 from the Centers for Medicare & Medicaid Services?
The Wendy Sue Suckow was issued its 1205804515 by the Centers for Medicare & Medicaid Services on 2006-03-11.
As of what date was the information regarding Wendy Sue Suckow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wendy Sue Suckow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-27.
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